CN104524495A - 一种治疗心悸的中药汤剂 - Google Patents

一种治疗心悸的中药汤剂 Download PDF

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CN104524495A
CN104524495A CN201410765841.1A CN201410765841A CN104524495A CN 104524495 A CN104524495 A CN 104524495A CN 201410765841 A CN201410765841 A CN 201410765841A CN 104524495 A CN104524495 A CN 104524495A
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王远方
宋文慧
逄瑞莲
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Abstract

本发明涉及一种治疗心悸的中药汤剂，其原料的重量比为：生地黄20-30克，当归20-30克，黄连6-10克，甘草6-9克，远志15-25克，酸枣仁6-9克，苏叶10-20克，陈皮15-25克，桑白皮10-20克，人参15-25克，生姜10-15克，白茯苓20-30克，木香10-20克，党参30-40克，白芍25-35克，生黄芪50-60克，石菖蒲20-30克，益母草15-25克，牛膝20-30克，丹参10-20克，牡丹皮10-20克，莲子芯粉3-6克。本发明中药汤剂具有益气补血、安神镇静、清热燥湿、活血祛瘀等功效，对于治疗心悸具有很好的疗效，无毒副作用。

Description

一种治疗心悸的中药汤剂
技术领域
本发明涉及中药技术领域，具体地说是一种治疗心悸的中药汤剂。
背景技术
心悸指患者自觉心中悸动，甚至不能自主的一类症状。发生时，患者自觉心跳快而强，并伴有心前区不适感，当心率缓慢常常感到心脏波动强烈，心率加快时，可感到心脏跳动，甚至可感到心前区振动。心悸一般呈一过性，每因情绪波动或劳累而发作。属祖国医学“惊悸”和“怔仲”的范畴。
目前针对心悸的治疗，一般是使用西药或者打针进行治疗，另外还有按摩穴位等物理疗法，药物治疗就对人体的副作用较大，物理疗法操作复杂且效果不理想。
发明内容
本发明针对现有技术的不足，根据中医理论，通过数年的药物筛选和反复临床验证，提供一种配制简便、成本低、疗效显著、无副作用的治疗心悸的中药汤剂。
本发明所采取的技术方案是：一种治疗心悸的中药汤剂，它是由下列重量配比的原料药物制成的：生地黄20-30克，当归20-30克，黄连6-10克，甘草6-9克，远志15-25克，酸枣仁6-9克，苏叶10-20克，陈皮15-25克，桑白皮10一20克，人参15-25克，生姜10-15克，白茯苓20-30克，木香10-20克，党参30-40克，白芍25-35克，生黄芪50-60克，石菖蒲20-30克，益母草15-25克，牛膝20-30克，丹参10-20克，牡丹皮10-20克，莲子芯粉3-6克。
取本发明原料药物，除莲子芯粉外，其余先加水没过药面2厘米为宜，浸泡60分钟，煮成汤剂，每日一付，每日一次，莲子芯粉冲服，7天为一个疗程。
本发明中的生地黄：味甘、苦，性凉；归心、肝、肾经；具有清热凉血、养阴生津、止痛调经的功效。当归：性温，味甘、辛；归肝、心、脾经；具有补血活血、调经止痛，润肠通便的功效。黄连：味苦，性寒，无毒；归心、脾、胃、肝、胆、大肠经；具有清热燥湿、泻火解毒的功效。甘草：味甘，性平；归十二经；有解毒、祛痰、止痛、解痉以至抗癌等药理作用；具有补脾益气、清热解毒、滋咳润肺，祛痰止咳、调和诸药的功效。远志：味苦、辛，性微温；归心、肾、肺经；具有安神益智，祛痰镇惊，行气散郁，消肿的功效，用于心肾不交引起的失眠多梦、健忘惊悸、神志恍惚、咳痰不爽、疮疡肿毒、乳房肿痛。酸枣仁：味甘、酸，性平；归心、脾、肝、胆经；具有养肝敛汗、宁心安神的功效。苏叶：味辛，性微温，无毒；归脾、肺经；具有散寒解表，宣肺止咳，理气和中，安胎，解毒的功效；主治外感风寒，恶寒发热，头痛无汗，咳嗽气喘，脘腹胀闷，呕恶腹泻，咽中梗阻，妊娠恶阻，胎动不安，食鱼蟹中毒，痈疮蛇毒辣。陈皮：性温，味辛、苦；归脾、胃、肺经；具有理气健脾、调中利水、燥湿化痰的功效。桑白皮：具有泻肺平喘、利水消肿的功效。人参：具有大补元气、复脉固脱、补脾益肺的功效生姜：味辛，性微温；归肺、脾、胃经；具有解表散寒、温中止呕、温肺止咳、解毒的功效，常用于风寒感冒，脾胃寒症，胃寒呕吐，肺寒咳嗽，解鱼蟹毒。白茯苓：味甘、淡，性平；归心、脾、肺、肾经；具有渗湿利水、健脾和胃、宁心安神的功效；用于小便不利、水肿胀满、痰饮咳逆、呕吐、脾虚食少、泄泻、心悸不安、失眠健忘、遗精白浊。木香：味辛、苦，性温；归脾、胃、肝、肺经；具有行气止痛、调中导滞的功效。党参：味甘，性平；归脾、肺经；具有补中益气、健脾益肺的功效。白芍：苦酸，凉；归肝、脾经；具有通顺血脉、养血柔肝、缓中止痛、敛阴收汗的功效；用于胸腹胁肋疼痛，泻痢腹痛，自汗盗汗，阴虚发热，月经不调，崩漏，带下。生黄芪：味甘，性微温；归肺、脾、肝、肾经；具有益气固表、补肺健脾、敛汗固脱、驱风运毒的功效；具有补气固表，利尿托毒，排脓，敛疮生肌、利水消肿之功效。石菖蒲：味辛、苦，性温；归心、胃经；具有化湿开胃，开窍豁痰，醒神益智功效；用于脘痞不饥，噤口下痢，神昏癫痫，健忘耳聋，理气，活血，散风，去湿，癫痫，痰厥，热病神昏，健忘，气闭耳聋，心胸烦闷，胃痛，腹痛，风寒湿痹，痈疽肿毒，跌打损伤。益母草：味苦、辛，性微寒；归肝、心包经；具有活血调经，利尿消肿的功效；用于月经不调，痛经，经闭，恶露不尽，水肿尿少，急性肾炎水肿。牛膝：味苦、酸，性平；归肝、肾经；具有补肝肾，强筋骨，活血通经，引火(血)下行，利尿通淋的功效；用于腰膝酸痛，下肢痿软，血滞经闭，痛经，产后血瘀腹痛，症瘕，胞衣不下，热淋，血淋，跌打损伤，痈肿恶疮，咽喉肿痛。丹参：味苦，性微温；入心、肝经；具有活血调经，祛瘀止痛，凉血消痈，清心除烦，养血安神的功效；主治月经不调，经闭痛经，症瘕积聚，胸腹刺痛，热痹疼痛，疮疡肿痛，心烦不眠，肝脾肿大，心绞痛。牡丹皮：味苦，性凉、微寒；归心、肝、肾、肺经；具有清热凉血、活血散瘀的功效。莲子芯：性寒，味苦，无毒；具有清心去热、涩精、止血、止咳等功效，可治疗心衰、休克、阳萎、心烦、口渴、吐血、遗精、目赤、肿痛等病症。
本发明的有益效果是成本低，使用方便，具有益气补血，活血散瘀，清热燥湿，泻火解毒，清心除烦，安神益智等功效，对于治疗心悸具有很好的疗效。
具体实施方式：
实施例1：一种治疗心悸的中药汤剂，它是由下列重量配比的原料药物制成的：生地黄20-30克，当归20-30克，黄连6-10克，甘草6-9克，远志15-25克，酸枣仁6-9克，苏叶10-20克，陈皮15-25克，桑白皮10-20克，人参15-25克，生姜10-15克，白茯苓20-30克，木香10-20克，党参30-40克，白芍25-35克，生黄芪50-60克，石菖蒲20-30克，益母草15-25克，牛膝20-30克，丹参10-20克，牡丹皮10-20克，莲子芯份3-6克。
实施例2：一种治疗心悸的中药汤剂，其原料药物为：生地黄20克，当归30克，黄连10克，甘草6克，远志25克，酸枣仁9克，苏叶20克，陈皮15克，桑白皮10克，人参25克，生姜15克，白茯苓20克，木香10克，党参40克，白芍25克，生黄芪60克，石菖蒲30克，益母草15克，牛膝20克，丹参20克，牡丹皮20克，莲子芯粉3克。
实施例3：一种治疗心悸的中药汤剂，其原料药物为：生地黄25克，当归25克，黄连8克，甘草7克，远志20克，酸枣仁8克，苏叶15克，陈皮20克，桑白皮15克，人参20克，生姜12克，白茯苓25克，木香15克，党参35克，白芍30克，生黄芪55克，石菖蒲25克，益母草20克，牛膝25克，丹参15克，牡丹皮15克，莲子芯粉5克。
实施例4：一种治疗心悸的中药汤剂，优选原料药物的用量为：生地黄30克，当归20克，黄连6克，甘草9克，远志15克，酸枣仁6克，苏叶10克，陈皮25克，桑白皮20克，人参15克，生姜10克，白茯苓30克，木香10克，党参30克，白芍35克，生黄芪50克，石菖蒲20克，益母草25克，牛膝20克，丹参10克，牡丹皮10克，莲子芯粉6克。
一种治疗心悸的中药汤剂临床疗效总结：
一、临床资料：本中药组合物应用于临床观察病例80例，男47例，女33例，年龄30～70岁，均存在心悸、胸闷、气短；兼症：神倦乏力、口干汗出、心胸痞闷、心痛时作、心烦易怒、失眠易惊、纳呆脘闷等症状。
二、治疗方法：将本发明原料药物，除莲子芯粉外，其余先加水没过药面2厘米为宜，浸泡60分钟，二煎煮成汤剂，每日一付，每日一次，莲子芯粉冲服，7天为一个疗程。
三、疗效评价：
治愈：症状及心律失常消失，心电图等实验室检查恢复正常；
有效：症状减轻或发作间歇时间延长，实验室检查有改善；
无效：症状及心律失常无变化。
四、治疗效果：使用本发明治疗78例，结果治愈36例，好转42例，无效2例，总有效率为97.5％。
五、典型病例
1、黄某，女，43岁。经常突然感觉心慌，心悸，心跳加速，心脏隐隐作痛，伴随胸闷，发作无规律，频繁。服用本发明中药汤剂1个疗程，症状减轻；继续服用1个疗程，症状及心律失常消失，心电图等实验室检查正常，治愈。
2、高某，男，63岁。经常感到头晕头痛，气短自汗，终日心悸，神倦乏力，遇事易惊，畏寒肢冷，面色苍白。诊见：舌质淡，脉弦细。诊断为：心悸。服用本发明汤剂2个疗程，心悸感觉及情绪明显好转；继续服用1个疗程，症状完全消失，治愈。
3、田某，男，50岁。半年前开始出现心慌症状，还伴有胸闷、胸痛、头晕、头痛，睡眠差等症状。服用本发明汤剂1个疗程，心慌症状有所缓解，睡眠症状好转；继续服用1个疗程，胸闷、胸痛、头晕、头痛等症状明显减轻；30天后，患者治愈，所有症状消失。随访无复发。

Claims (1)

1.一种治疗心悸的中药汤剂，其特征在于它是由下列重量配比的原料药物制成的：生地黄20-30克，当归20-30克，黄连6-10克，甘草6-9克，远志15-25克，酸枣仁6-9克，苏叶10-20克，陈皮15-25克，桑白皮10-20克，人参15-25克，生姜10-15克，白茯苓20-30克，木香10-20克，党参30-40克，白芍25-35克，生黄芪50-60克，石菖蒲20-30克，益母草15-25克，牛膝20-30克，丹参10-20克，牡丹皮10-20克，.莲子芯粉3-6克。
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